Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Colene Guzman, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1366273617

MS. Colene Guzman, AGACNP is a Nurse Practitioner in Gold Canyon, Arizona. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
Specialties on file
2

Practice location Address checks out

10332 E Fortuna Ave
Gold Canyon, AZ 85118-7355
Phone: (602) 283-6589
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Clinical Nurse Specialist (primary) Taxonomy 364SA2100X · Licence 312411 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 312411 (AZ)

Record details

NPI number1366273617
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address10332 E Fortuna Ave, Gold Canyon, AZ 85118-7355

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare